Fax Mail Order Form
We offer the best low cost whole house water filters, chlorine shower filters, whole house bacteria filters, countertop and under-counter filtration systems using the patented KDF® media. 100 percent customer support 7 days a week--since 1998.
Fax/Mail Order Form
First Name: Last Name:
Address:
City: State:
Zip: Country:
Phone No: E-mail Address:
Charge card: Visa/MC/Discover/American Express
Account No: Expiration Date:
CVC Code (3 or 4 digit):
Enter Quantity, Product Description and Price
Quantity
Product 1
Price $
Quantity
Product 2
Price $
Quantity
Product 3
Price $
Quantity
Product 4
Price $
Quantity
Product 5
Price $
Shipping Charges
Michigan Residents add 6% Sales tax
Total $
Print this form for fax or snail mail orders.
California Residents: the state of California requires water treatment devices claiming health claims be tested and certified by them - our units are not. Therefore, only aesthetic claims can be made on units shipping to California addresses. Click for California Orders.
